Michelle Robertson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P5385 Issued in NC

Practice address

19215 Peninsula Shores Dr
Cornelius, NC 28031-7579

Phone

(704) 895-7343

Fax

(704) 895-7343

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Team Therapy Group

  • Physical Therapist
  • Cornelius, NC
  • NPI 1972533883
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1316969231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19215 PENINSULA SHORES DR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280317579",
            "telephone_number": "704-895-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19215 PENINSULA SHORES DR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280317579",
            "telephone_number": "704-895-7343",
            "fax_number": "704-895-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MICHELLE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P5385",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "P5385",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "P5385",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211650",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mekenzie Lynn Riley, RD
• Jean-Pierre Alain Riou, M.D.
• Riva Aesthetic Dermatology, PLLC
• Brittany Roberts
• Michaela Lynne Roberts, MD
• Cecile Theresa Robes, DO
• Robert Lee Robinson
• Jannette Rodriguez, DC
• Stephanie Lynn Roffey, LCSW
• Richard R. Rolle Jr., DDS

• Physical Therapist in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.